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The nurse manager in orthopedics has asked for your assistance with a finance project.

Scenario
The nurse manager in orthopedics has asked for your assistance with a finance project. She is being asked to
estimate revenue for the next fiscal year based on the projected number of hip replacements increasing from 300
this year to 340 next year.
The nurse manager must also factor in the expected changes in sources of revenue by payer. It is estimated that
the hospital will lose some contracted insurers due to local competition, and see an increase in Medicare and
Medicaid patients due to area demographics and economic conditions. She has provided you with the numbers
from this year’s budget and the projections on numbers and payment amounts for next year.
Instructions
Prepare a financial forecasting memo to your nurse manager that:
Part One – Financial Forecasting Model
Contains a completed financial forecasting model by downloading the Financial Forecasting Model to:
Calculate the income projected from each payer source and total for the year to compare next year’s revenue to
this year’s revenue.
Provide your nurse manager with your estimates on the increase/ decrease in revenue for next year’s budgeting.
Part Two – Financial Forecasting Memo
Explains how the change in payer mix will impact the overall projected revenue of the unit.
Describes the financial impact of a changing payer mix.
Lists recommendations for the manager to consider in expenses, so that the budget will balance as neutral.
Provides stated ideas with professional language and attribution for credible sources with correct APA citation,
spelling, and grammar in the memo.

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